<link href="/assets/css/faqs.css" rel="stylesheet" type="text/css">
<link href="/assets/css/contenido.css" rel="stylesheet" type="text/css">
<link href='http://fonts.googleapis.com/css?family=Carrois+Gothic+SC' rel='stylesheet' type='text/css'>

<form method="post">
<td width="375" valign="top" class="blanco">
    <table width="590" border="0" align="center" cellpadding="0" cellspacing="5" class="blanco textofaqs">
      <tr>
        <td colspan="2"><div align="center">
          <p align="left"><strong>Contact Us</strong></p>
        </div></td>
      </tr>
      <tr>
        <td colspan="2">&nbsp;</td>
      </tr>
      <tr>
        <td width="28%">Name: </td>
        <td width="72%"><input type="text" name="name" autofocus></td>
      </tr>
      <tr>
        <td>Last:</td>
        <td><input type="text" name="last"></td>
      </tr>
      <tr>
        <td>Company:</td>
        <td><input type="text" name="company"></td>
      </tr>
      <tr>
        <td>Country:</td>
        <td><input type="text" name="country"></td>
      </tr>
      <tr>
        <td>Telephone: +</td>
        <td><input type="text" name="telephone"></td>
      </tr>
      <tr>
        <td>Mail Address:</td>
        <td><input type="email" name="email"></td>
      </tr>
      <tr>
        <td colspan="2"><input type="radio" name="radio" id="radio" value="radio">
          Real Estate</td>
        </tr>
      <tr>
        <td colspan="2"><input type="radio" name="radio" id="radio2" value="radio">
          Private  Capital  Advisory</td>
        </tr>
      <tr>
        <td colspan="2"><input type="radio" name="radio" id="radio3" value="radio">
          Agribusiness</td>
        </tr>
      <tr>
        <td colspan="2"><input type="radio" name="radio" id="radio4" value="radio">
          Investment  Banking </td>
        </tr>
      <tr>
        <td colspan="2"><input type="radio" name="radio" id="radio5" value="radio">
          Wealth  Management</td>
        </tr>
      <tr>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
      </tr>
      <tr>
        <td><p>Comments</p></td>
        <td rowspan="3"><textarea name="comments" rows="5"></textarea></td>
      </tr>
      <tr>
        <td>&nbsp;</td>
      </tr>
      <tr>
        <td>&nbsp;</td>
      </tr>
      <tr>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
      </tr>
      <tr>
        <td>&nbsp;</td>
        <td><button type="submit" name="submit">Send</button></td>
      </tr>
      <tr>
        <td><p>&nbsp;</p></td>
        <td>&nbsp;</td>
      </tr>
      
    </table>
</td>
</form>
<td valign="top" width='25px' class="blanco divisorcontenido"></td>  
<td width='295px' valign='top' class="blanco"><img src="/assets/images/contact/contact.jpg"></td>
